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Reduced C3 Levels Link Dyslipidemia and Renal Involvement in Systemic Lupus Erythematosus
Shuo Cheng1,2, Yi Jiang1, Zhanheng Hu1,2
1Department of Rheumatology and Immunology, The First Affiliated Hospital of Shenzhen University, Shenzhen University, Shenzhen, People's Republic of China.
Insights
Low complement C3 levels are linked to dyslipidemia and kidney issues in systemic lupus erythematosus (SLE) patients. Combining C3 and ESR can help predict dyslipidemia risk.
Area of Science:
- Immunology
- Rheumatology
- Clinical Chemistry
Background:
- Dyslipidemia is common in systemic lupus erythematosus (SLE) patients, particularly those with hypocomplementemia.
- This suggests a link between immune system dysfunction and lipid metabolism in SLE.
Purpose of the Study:
- To investigate the association between complement components and lipid profiles in SLE patients.
- To determine the influence of these associations on organ involvement.
Main Methods:
- 935 SLE patients were analyzed, stratified by lipid profiles.
- Logistic regression, stratified analyses, and ROC curves were used to assess predictors of dyslipidemia and organ involvement.
Main Results:
- 56.4% of SLE patients had dyslipidemia.
- Lower C3 levels were independently associated with increased risk of dyslipidemia (OR=0.29) and renal involvement (OR=0.21).
- A predictive model using C3 and ESR showed 74.7% specificity for dyslipidemia.
Conclusions:
- Reduced C3 levels are a significant risk factor for dyslipidemia and renal involvement in SLE.
- The combination of C3 and ESR levels improves dyslipidemia identification in SLE patients.
Background:
Dyslipidemia is more frequently observed in systemic lupus erythematosus (SLE) patients with hypocomplementemia, suggesting potential connections between immune dysregulation and lipid metabolism. This study aims to explore the association between complement components and lipid profiles, and investigate the influence in organ involvement among SLE patients.
Methods:
A total of 935 patients diagnosed with SLE were enrolled and stratified based on their baseline lipid profiles. Logistic regression, stratified analyses and ROC curves analyses were employed to evaluate the predictive value of complements with other factors for dyslipidemia and organ involvement.
Results:
Among the 935 enrolled SLE patients, 527 (56.4%) were diagnosed with dyslipidemia. Patients in the dyslipidemia group exhibited higher erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and lower complement 3 (C3) levels compared to those without dyslipidemia. Lower C3 levels were independently associated with an increased risk of dyslipidemia (OR = 0.29, 95% CI: 0.18-0.47, P < 0.0001) and renal involvement (OR = 0.21, 95% CI: 0.12-0.37, P < 0.0001). This association of dyslipidemia were further strengthened in patients with C3 ≤ 0.7 g/L (OR = 0.08, 95% CI: 0.01-0.48, P = 0.0061). In addition, a predictive model for dyslipidemia risk among SLE patients was developed. Using criteria of C3 (≤ 0.68 g/L) and ESR (≥ 33.65 mm/h), the model achieved 64.1% sensitivity, 74.7% specificity, and an AUC of 0.71 for dyslipidemia prediction.
Conclusion:
Reduced C3 levels serve as a significant independent risk factor for dyslipidemia and renal involvement. Furthermore, the combination of C3 and ESR enhances the identification of dyslipidemia.
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